SUPERVISOR INSURANCE SPECIALIST at Cooper University Health Care
Camden, NJ 08102
About the Job
About us At -Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. - Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. -Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description - - - -Acts in supervisory position to Insurance Specialists which support the surgical schedulers and - - - -centralized revenue cycle/access management functions for Surgical Services Institute. Working to screen - - - -and/or financially clear all patients for hospital and ambulatory surgeries/visits prior to date of service. - - -Coordinates the daily activities of staff, ensuring equitable distribution of work. - - -Trains new employees on job functions, policies, procedures, tools and systems. - - -Prepares training and reference materials, and keeps all information current. - - -Maintain workflows, conducts QA audits, and provides monthly updates to Revenue Cycle Director, Admin Director and Institute Leaders: - - -Performs all duties of Insurance Specialists, including by not limited to the following:--- Verifies insurance eligibility, plan benefits, and coordination of benefits.--- Obtains referrals and insurance pre-certifications/prior-authorizations for inpatient and outpatient surgeries, procedures, treatments and/or radiology studies.--- Explains insurance plan coverage and benefits to patients, as necessary.--- Navigates and completes referrals for all uninsured and underinsured patients.--- Generates patient liability estimates and provides to patients.--- Collects patient liability payments and/or establishes payment arrangementsExperience Required3-5 years' experience preferred in healthcare revenue cycle, with working knowledge of insurance benefits, referral and authorization requirements, billing procedures/systems and codes, as well as alternative funding sources for uninsured or underinsured patients.Experience with EPIC, IDX Flowcast, ImageCast, NaviNet, AIM, eviCore, Med Solutions, NIA, United Health Care Online, I-Exchange, Encoder Pro, Data Online, Health Quest, and Passport systems preferred.Ability to organize, multi-task, delegate, and take independent action while projecting Cooper values to patients, customers and co-workers.Basic knowledge of medical terminology, continuity of care protocols, and coding principles.Prior supervisory experience preferred.Education RequirementsHS diploma required. Bachelors preferredSpecial RequirementsStrong communication, organizational and interpersonal skills.Detail oriented; ability to multi-task using multiple information systems.Proficiency in use of MS Office Word, Excel, and PowerPoint